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Texas rates for HCPCS 22630

Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than for decompression), single interspace, lumbar;

Facilitymedian $3,802 · 10th–90th $1,318–$15,8490%10%10th90th$3,802$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,202.26 / $4,073.80 / $14,454.40
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659.59 / $3,019.95 / $38,904.51
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,479.11 / $24,547.09 / $24,547.09
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,691.53 / $2,691.53 / $2,691.53
Cigna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$3,235.94 / $3,235.94 / $3,235.94
Cigna
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$269.15 / $269.15 / $269.15
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,964.78 / $10,964.78 / $117,489.76
Lucent Health
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$11,748.98 / $11,748.98 / $11,748.98
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,380.38 / $2,089.30 / $5,495.41
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,479.11 / $1,995.26 / $3,467.37
Providence
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$3,162.28 / $3,162.28 / $3,162.28
Providence
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$263.03 / $263.03 / $263.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,786.30 / $11,220.18 / $25,118.86